Individual provider Active NPI

Kelly Patrice Doyle

  • Acute Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1306678990
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024190984 Issued in VA
Practice address
4501 Empire CT
Fredericksburg, VA 22408-1949
Phone
(540) 371-0079
NPI assigned
Aug 14, 2024
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024190984 VA
Acute Care Nurse Practitioner 363LA2100X 0024190984 VA Primary

Addresses

Primary practice location

4501 Empire CT
Fredericksburg, VA 22408-1949

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

4545 Empire Ct
Fredericksburg, VA 22408-1949
Phone (540) 371-0079

Other practice location 2

125 Woodstream Blvd Ste 205
Stafford, VA 22556-4630
Phone (540) 371-0079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106003308 VA Practitioner - Nurse Practitioner 1557895083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4501 Empire CT
Fredericksburg, VA 22408-1949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Mar 2, 2026 Accepting new patients
Hematology-Oncology Associates of Fredericksburg, Inc. CurrentSince Sep 2, 2024 Accepting new patients

Locations

4501 Empire Ct
Fredericksburg, VA 22408
Phone (540) 371-0079

4545 Empire Ct
Fredericksburg, VA 22408
Phone (540) 371-0079

44055 Riverside Pkwy
Ste 224
Leesburg, VA 20176
Phone (703) 858-3110

125 Woodstream Blvd
Ste 205
Stafford, VA 22556
Phone (540) 371-0079

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1306678990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-371-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Empire Ct",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224081949",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Woodstream Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225564630",
            "country_code": "US",
            "telephone_number": "540-371-0079",
            "fax_number": "540-656-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KELLY",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024190984",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024190984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.